Individual
DR. KONSTANTINOS BOORAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D., F.A.A.O.
Contact information
Practice address
505 NORTHERN BLVD, SUITE 313, GREAT NECK, NY 11021-5115
(516) 472-7310
(516) 368-3862
Mailing address
505 NORTHERN BLVD, STE 313, GREAT NECK, NY 11021-5101
(516) 472-7310
(516) 368-3862
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
TUV006759
NY
152WC0802X
Corneal and Contact Management Optometrist
TUV006759
NY
Other
Enumeration date
04/04/2006
Last updated
10/26/2016
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